Active NPI
Tomahawk Pharmacy LLC
- Long Term Care Pharmacy
- Tomahawk, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- TOMAHAWK PHARMACY LLC
- Practice address
- 315 W Wisconsin Ave
Tomahawk, WI 54487-1133 - Phone
- (715) 453-6600
- Fax
- (715) 453-6601
- NPI assigned
- Feb 9, 2023
- Last updated
- Feb 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tyler J Stevenson
- Title
- Owner
- Phone
- (715) 453-6600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
315 W Wisconsin Ave
Tomahawk, WI 54487-1133
Mailing address
315 W Wisconsin Ave
Tomahawk, WI 54487-1133
Phone (715) 453-6600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126644 | Medicaid | WI |
National Provider Directory
National Provider Directory- Tax ID family
- Tomahawk Pharmacy LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Tomahawk, WI
- NPI 1972875789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675900800000",
"number": "1851098990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 W WISCONSIN AVE",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544871133",
"telephone_number": "715-453-6600",
"fax_number": "715-453-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 W WISCONSIN AVE",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544871133",
"telephone_number": "715-453-6600",
"fax_number": "715-453-6601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOMAHAWK PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-09",
"last_updated": "2023-02-09",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "STEVENSON",
"authorized_official_first_name": "TYLER",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "715-453-6600"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126644",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tomahawk, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.